Nurses provide care both interdependently with physicians and independently as nursing professionals. In each phase of the nursing process the competency of care is described by the professional standards. Florence nightingale is the person who has evolved the nursing profession when she came to know that nurses expected to provide care, perform hose keeping duties, prepare and serve meals. Nursing is a profession in the health care sector focused on care of people and their families so they can maintain the quality of life. Registered nurses need at a minimum an associate degree, nurse practitioners need master degree in nursing. All through the history we come to know that nurses have many roles, they act as silent advocate, researcher, teacher counselor and as direct care provider. Both nurse practitioners and registered nurses work closely with patients to provide care for acute and chronic disease. They reflect desired level of performance against which nurses actual performance can be compared. Nursing identity is seen having a fundamental importance for the quality of healthcare; it is also an important growing collaborative research which are in turn are held to improve the patient’s life. The basic rule for profession is a theoretical body of information defining its skills, norms and abilities. There are many opportunities to shape the future of nursing profession and nursing practice. Nurses provide care for sick people; they are the first providers or primary healthcare, self-care and wellness. A professional nurse provides a specifies service following the code of ethics for practice. Florence nightingale introduced novel concepts to nursing practice that decreases mortality rates. She made contributions like need for sanitation, encouraging education, recognizing dietary requirements, instituting triage. These fundamentals of nursing are most important components of the practice; nurses today are expanding their role as caregivers to increase much more. Professional nurse have the authority in decision making, which include keeping people healthy, prevent them from illness and injury, promoting comfort measures, assist them to adapt good life styles about their health and well-being, they also improves the quality of life of their patients, their families and communities.
Direct Care Provider: The nurse assists the patient to regain health through the healing process, they provides a holistic approach to care which includes: assisting the client/family in coping with the physical, emotional, social and spiritual impacts of the illness.
Protector and Client Advocate: The nurse helps to maintain a safe environment for the clients and takes required steps to prevent injury and protect the client from possible adverse effects of treatment measures. The nurse protects client´s human and legal rights.
Case Manager: the nurse coordinates the activities of the other health care providers in collaboration with the direct care providers ( assisting with scheduling of tests and procedures etc).
Client/Family Educator: Nurses provide patients and their family with the information and skills necessary to manage their illness independently.